1024Bytes said:MD/PhD said:1024Bytes said:Interesting that you missed so many messages about these very topics,
or maybe you don't like to read as much as you like to type. But I
know this about BMI. It's as fallible as your apparent reading skills.
Here from the NIH National Heart, Lung and Blood Institute.
http://www.nhlbi.nih.gov/health/public/heart/obesity/lose_wt/risk.htm#limitations
1. Body Mass Index (BMI)
BMI is a reliable indicator of total body fat, which is related to the
risk of disease and death. The score is valid for both men and women
but it does have some limits. The limits are:
+++++ It may overestimate body fat in athletes and others who have a
muscular build.
+++++It may underestimate body fat in older persons and others who
have lost muscle mass.
Even if I were not well-muscled (which I am) my BMI would not be
through the roof.
Based on your BMI (29.1), you are overweight. Sorry.
Importantly, I thought we were discussing the effectiveness of a diet.
You have decided to turn this into a an attempt to assassinate me
based on your assessment of my weight.
You seem overly sensitive about your BMI. Why?
Quoted message said:Here are the facts you
apparently do not like: I took off more than 100 pounds since 1990,
kept it off and am sure that it will remain off. I am using Atkins to
do that.
What's there not to like? If I were your doctor, however, I would be concerned that
being on Atkins may be either causing lipid derrangements or elevating hsCRP placing you
at higher risk for coronary disease.
Quoted message said:
And you are using bogus information to attempt to challenge my use of
Atkins in order to push your own diet.
Why do you think your BMI is bogus?
Quoted message said:I just came back from the BMI
calculator and I am at 27.4, not the 29.1 level you cited. Are you
making up your own numbers here in order to make your case seem
stronger?
Oops, sorry. I used 71 inches instead of 73 inches to calculate your BMI. With 73
inches, I get 27.5 which being more than 25 is still suggesting that you are
overweight. Sorry.
Quoted message said:If Met Life ideal weight is considered, that makes me 1.05583756345178
percent overweight. That is ONE PERCENT. This is hardly obesity range.
Particularly since (as I have said and you have ignored) I am quite
well muscled and have been for many years.
Though not obese, you would still be considered "overweight" based on your BMI.
Quoted message said:
I know this about BMI, the measure you apparently hold so dear. It's
not a cut and dry issue. Here from the NIH National Heart, Lung and
Blood Institute.
http://www.nhlbi.nih.gov/health/public/heart/obesity/lose_wt/risk.htm#limitations
1. Body Mass Index (BMI)
BMI is a reliable indicator of total body fat, which is related to the
risk of disease and death. The score is valid for both men and women
but it does have some limits. The limits are:
+++++ It may overestimate body fat in athletes and others who have a
muscular build.
+++++It may underestimate body fat in older persons and others who
have lost muscle mass.
No claim has been made that BMI is absolute in determining adiposity.
Quoted message said:
It's odd that a doctor would say that someone who has taken off 100
pounds and kept it off for 10 years did it wrong or is doing it wrong.
Being 100 lbs lighter is a good thing. Hopefully, that has offset the means.
Quoted message said:
And would knock the maintenance diet that is keeping it off when that
diet is quite close to the "balanced" diets pushed by so many
cardiologists. Your message is hollow.
Looking at the Atkin's recipes for maintenance, there are grounds for concern.
How is your lipid profile and hsCRP anyway?
--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/